Groin pain caused by iliopsoas synovial cyst treated with endoscopic approach. A case report

Main Article Content

Paolo Di Benedetto
Stefano Magnanelli
Michele Mario Buttironi
Alessandro Beltrame
Araldo Causero

Keywords

ilio-psoas, groin pain, synovial, cyst, endoscopic surgery

Abstract

The diagnosis of iliopsoas synovial cyst is a rare finding. The normal approach to treat this condition has been conservative therapies or open surgery, with its associated complications and morbidity. The arthroscopic – endoscopic surgery is less invasive and with an increase in complications and days of hospitalization. We report the case of a 70-year old woman with clinical and imaging signs of a fluid-filled cyst near iliopsoas distal tendon. After fluid aspiration, the patient reported symptom-free interval of several weeks, but then groin pain and swelling feeling return, increased with hip movements. The cyst was removed through arthroscopy approach and the iliopsoas tendon was released. The removal of iliopsoas synovial cyst is necessary to avoid complications such as pain and functional limits. Arthroscopy has the advantage of less soft-tissue damage and quicker recovery. The treatment of associated tendon pathology can be done. Hip arthroscopy can be a safe and effective technique for the removal of iliopsoas synovial cyst.

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References

1. Jørgensen SG, Öberg S, Rosenberg J. Treatment of longstanding groin pain: a systematic review. Hernia 2019; Feb 28.
2. Sheen AJ, Stephenson BM, Lloyd DM, Robinson P, Fevre D, Paajanen, , de Beaux A, Kingsnorth A, Gilmore OJ, Bennett D, Maclennan I, O'Dwyer P, Sanders D, Kurzer M. Treatment of the sportsman’s groin: British Hernia Society’s 2014 position statement based on the Manchester Consensus Conference. Br J Sports Med 2014; 48(14): 1079-87.
3. May O. Arthroscopic techniques for treating ilio-psoas tendinopathy after hiparthroplasty. Orthop Traumatol Surg Res. 2019; 105(1S): S177-S185.
4. Di Benedetto P, Zangari A, Magnanelli S, Cainero V, Beltrame A, Gisonni R, Causero A. Heterotopic Ossification in Primary Total Hip Arthroplasty: which is the role of drainage? Acta Biomed. 2019; 10;90(1-S): 92-97.
5. Di Benedetto P, Niccoli G, Magnanelli S, Beltrame A, Gisonni R, Cainero V, Causero A. Arthroscopic treatment of iliopsoas impingement syndrome after hip arthroplasty. Acta Biomed. 2019; 10;90(1-S): 104-109.
6. Wuenschel M, Kunze B. Iliopsoas Cyst Causing Persistent Pain After Total Hip Arthroplasty. Orthopedics. 2011; 18;34(5): 396.
7. Enzler M, Drobny T, Franzeck U, Inderbitzi R, Leu A. Inguinal mass as a late complication of hip arthroplasty. Differential diagnosis and treatment from a vascular surgical perspective. Vasa. 2000; 29(4): 288-91.
8. Bou Antoun M, Reboul G, Ronot M, Crombe A, Poussange N, Pesquer L. Imaging of inguinal-related groin pain in athletes. Br J Radiol. 2018; 91(1092): 20170856.
9. Lee SC, Endo Y, Potter HG. Imaging of Groin Pain: Magnetic Resonance and Ultrasound Imaging Features. Sports Health. 2017; 9(5): 428-435.
11. Extracapsular vs standard approach in hip arthroscopy. Acta Bio-Medica Atenei Parm. 2016;87(1):41-45.
11 Tey M, Alvarez S, Ríos JL. Hip labral cyst caused by psoas impingement. Arthroscopy. 2012; 28(8): 1184-6.
12. Falvey EC, King E, Kinsella S, Franklyn-Miller A. Athletic groin pain (part 1): a prospective anatomical diagnosis of 382 patients—clinical findings, MRI findings and patient-reported outcome measures at baseline. Br J Sports Med. 2016; 50(7): 423-430.
13. Cyteval C, Sarrabère MP, Cottin A, Assi C, Morcos L, Maury P, Taourel P. Iliopsoas Impingement on the Acetabular Component: Radiologic and Computed Tomography Findings of a Rare Hip Prosthesis Complication in Eight Cases. J Comput Assist Tomogr. 2003; 27(2): 183-8.